EMDR FORUM ARCHIVE, 2000
Re:Any experience with subjects suffering from schizophrenia and childhood abuse
Sandra Paulsen Inobe PhD · 08/10/03 at 1:09 PM ET
To complicate things, highly dissociative clients often have many Schneiderian signs and get misdiagnosed as schizophrenic or schizoaffective or bipolar when they should really be diagnosed and treated as DID. The medications they are given sometimes provide some palliative relief but don't cure as appropriate treatment for DID will do. Of course, I'm not saying all cases of schizophrenia etc are DID, just that it is a common error. Example of Schneiderian signs found in DID: In schizophrenia one sees the inability to think with abstraction, DIDs are often very bright, abstract and creative.
- auditory hallucinations, hearing thoughts spoken aloud
- being controlled by external influences -- this is called "made behaviors" in DID - another part of the self is controlling the body and the front part feels disembodied.
- "made feelings" - the emotions that leak up are from other disowned parts of self
- somatic passivity - the body sensations feel like they are from elsewhere, they are disowned, again, leakage from other parts of the self
- thought insertion - ego alien convictions that thoughts have been place into one's mind is VERY common in DID - another part of the self is inserting thoughts into the awareness of the part of the self that is speaking. The client is often unaware that there are other parts of the self.
- thought withdrawal - happens all the time in DID - the client can't finish a sentence or a thought because it is verboten to another part of the self, say, for example, a parental introject who says "don't you dare say that about me"
- voices arguing - alters representing poles of an internalized conflict or double bind, such as "Daddy raped us" and "Daddy loved us and is a good man."
- voices commenting - auditory hallucinations are actually alters commenting on the hosts behavior.
- disorganized speech and behavior, if the disorganization takes the form of rapid switching, incomplete behaviors or thoughts or sentences, agitation certainly, high axiety certainly.
- hosts are often passive, and society withdrawn
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